This paper explores the implication of health care development through ICT on local norms of participation, and local accountabilities. Drawing on an example from the Amazon, the author notes the interplay between a telemedicine system and local knowledge. He suggests that ICT is an 'accountable structure' for a model of development based on linear transmition of knowledge rather than dialogue and participation
Contains information on the main challenges to the deployment of e-health in Latin America and the Caribbean and presents recommendations on policy, strategies, and organizational changes to its development